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<br />01/09/2007 TUE 16:54 FAX 402 471 2530 secofstate/licensing div <br /> <br />'Ott <br /> <br />l075 <br /> <br />~ 005/006 <br /> <br />form 668 (Y)(c) <br />(Rev. February 2004.) <br /> <br />Dep<lrtmen~ of the Treasury - Internal Revenue Service <br /> <br />Notice of Federal Tax Lien <br /> <br />200700224 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOyeD AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 327738106 <br /> <br />As provided by section 6321. 63'22. and 6313 of the Internal Revenue <br />Code, we are civins a notice that taxes (including interest and penalties) <br />have been assessed against the followin,..named taxpayer. We have made <br />a demand for payment of this liability, but it r~mains unpaid. Therefore, <br />there is a lien in favor of the United States on all property and richu to <br />propeny belonging to this taxpayer for the amount of t~ese taxes, and, <br />additional penalties, intetest, and costs that may accrue. <br /> <br />Name of Taxpayer DANIEL REYES <br /> <br />Residence <br /> <br />305 WINDOLPH AVE <br />GRAND ISLAND, NE 6680l-7l68 <br /> <br />iMPORTANT RELEASE INFOR.MATION: For each assessment listed below, <br />unless notice of thm lien is refiled by the date given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRe 6325(01). . <br /> <br />Kind of Tax <br />(a) <br />l040 <br /> <br />Tax Period ' <br />Endinc <br />(b) <br />12/31/2002 <br /> <br />, Date of <br />A$$essment <br />(d) <br />09/11/2006 <br /> <br />Last D!J for <br />Refillng <br />(e) <br />lO/11/2016 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-4075 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX l692 <br />Grand Island, NE 68802-1692 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />Title <br />REVENUE OFFICER <br />for PAT KELLOGG (30B) 384-4850 <br />(HOTE: Certificate of officer authorizetl by 11Iw to toke acknowledgment is not essential to the vi1lidity of Notice of Federal TllX lien <br />Rev. Ru!. 71-466, 1971.2 C.B. 4091 .. .. ............ n_n_"'__ ___ Form 668(Y)(,) (Rev. 2-2004) <br /> <br />the <br /> <br />09th day of November <br /> <br />200f; <br /> <br />Signature <br /> <br /> <br />For Optional Use by Rccording Office <br /> <br />I'lr m 111[11\I~n <br /> <br /> <br />9907489202-6 Po;: 1 <br />R"VES tlRNla <br />Filed' 01/09/2007 ~4:22 PM <br /> <br />Unpaid Balance <br />of Assessment <br />(0 <br />43493.l1 <br /> <br />Total $ <br /> <br />43493.11 <br /> <br />24-10-;234l <br /> <br />~J <br />